MEDICARE: AUBREY MONTEBELLO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	0101277361	VA

General Provider Information

NPI Number	:	1275102725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUBREY MONTEBELLO MD

Provider Business Mailing Address
First Line	:	4494 PALMER RD. NORTH
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WILFORD HALL LOOP
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78236-5638
Country	:	US
Telephone Number	:	210-292-4277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2021
Last Update Date	:	06/18/2026

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